NPIMap

Individual provider Active NPI

Robert D Lefsrud, MD

  • Diagnostic Radiology Physician
  • Rice Lake, WI
National Provider Identifier
1144208273
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
43958 Issued in WI
Practice address
1024 N Main St
Rice Lake, WI 54868-1236
Phone
(715) 234-8151
Fax
(715) 234-9750
NPI assigned
Jan 9, 2006
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 38540 MN
Diagnostic Radiology Physician 2085R0202X 43958 WI Primary

Addresses

Primary practice location

1024 N Main St
Rice Lake, WI 54868-1236

Mailing address

1024 N Main St
Rice Lake, WI 54868-1236
Phone (715) 234-8151

Other practice location 1

420 E 1st St
Duluth, MN 55805-1901
Phone (218) 786-8364

Other practice location 2

11134 N State Road 77
Hayward, WI 54843-5325
Phone (715) 634-5505

Other practice location 3

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

Other identifiers 2

IdentifierTypeStateIssuer
131314200MedicaidMN
32370800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, WI, MN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040804001412 ND Practitioner - Diagnostic Radiology 7719891407 Reassigns benefits to 2 organizations
I20041214000503 WI Practitioner - Diagnostic Radiology 7719891407 Reassigns benefits to 1 organization
I20060615000180 MN Practitioner - Diagnostic Radiology 7719891407 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mankato Clinic LTDGroup PAC ID 5597677955, 243 clinicians
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Consulting Radiologists LTDGroup PAC ID 7719899962, 77 clinicians

Practice addresses (Care Compare)

1230 E Main St
Mankato, MN 56001-5066
Phone (507) 389-8509

1455 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (952) 428-3000

210 9TH St SE
Rochester, MN 55904-6425
Phone (507) 288-3443

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

913 E 26TH St
Minneapolis, MN 55404-4515
Phone (612) 863-3150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Merit-based Incentive Payment System (MIPS)

Final score
95.99 of 100Reported as group
Quality
88.46
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as apm
Quality
84.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Community Hospital, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Portage Radiology, SC Diagnostic Radiology CurrentSince Aug 8, 2020 Accepting new patients
Allina Health System Current Accepting new patients
St Francis Regional Medical Center CurrentSince Oct 1, 2024 Accepting new patients
St. Francis Regional Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Mankato Clinic LTD Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Oct 1, 2024 Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Home Care CurrentSince Mar 9, 2025 Accepting new patients
Mercy Medical Center CurrentSince Mar 9, 2025 Accepting new patients
Madelia Health Current Accepting new patients
Allina Health System CurrentSince Oct 1, 2024 Accepting new patients
Allina Health System CurrentSince Oct 1, 2024 Accepting new patients
Olmsted Medical Center CurrentSince Oct 1, 2024 Accepting new patients
Warren Community Hospital, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Allina Health System CurrentSince Oct 1, 2024 Accepting new patients
St. Croix Radiology Consultants, LLC Diagnostic Radiology Past Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Oct 1, 2024 Accepting new patients
Quest Diagnostics LLC Il Past Accepting new patients
Midwest Radiology Outpatient Imaging, LLC Diagnostic Radiology Past Accepting new patients
Midwest Radiology, PA Diagnostic Radiology Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

7595 Anagram Dr
Eden Prairie, MN 55344
Phone (612) 573-2214

6525 France Ave S
Ste 110
Edina, MN 55435
Phone (952) 285-3720

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255

1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone 61287910001502

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

913 E 26th St
Ste 402
Minneapolis, MN 55404
Phone (612) 845-6212

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

300 W Good Samaritan Dr
Warren, MN 56762
Phone (218) 745-4211

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

225 Scholl Ct
Amery, WI 54001
Phone (705) 268-8000

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 23

Hospital & facility affiliations 59

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 59

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1144208273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N MAIN ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681236",
            "telephone_number": "715-234-8151",
            "fax_number": "715-234-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 N MAIN ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681236",
            "telephone_number": "715-234-8151",
            "fax_number": "715-234-9750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051901",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11134 N State Road 77",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "WI",
            "postal_code": "548435325",
            "country_code": "US",
            "telephone_number": "715-634-5505",
            "fax_number": "715-634-5558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7595 Anagram Dr",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553447399",
            "country_code": "US",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEFSRUD",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "38540",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "43958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131314200",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32370800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

Verify at the official NPI Registry.